| Mrs Kim Shirk, LPC, NCC | |
|
410b Se 3rd St Ste 101, Lees Summit, MO 64063-2842 | |
| (816) 525-5333 | |
| (816) 525-5334 |
| Full Name | Mrs Kim Shirk |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 26 Years |
| Location | 410b Se 3rd St Ste 101, Lees Summit, Missouri |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114093176 | NPI | - | NPPES |
| 497517904 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2001021092 (Missouri) | Primary |
| Entity Name | Sondermind Provider Network LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kim Shirk, LPC, NCC 410b Se 3rd St Ste 101, Lees Summit, MO 64063-2842 Ph: (816) 525-5333 | Mrs Kim Shirk, LPC, NCC 410b Se 3rd St Ste 101, Lees Summit, MO 64063-2842 Ph: (816) 525-5333 |
Alicia Mclemore, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 Ne Independence Ave, Lees Summit, MO 64086 Phone: 816-966-0900 |
Jillian Salanski, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 Ne Independence Ave, Lees Summit, MO 64086 Phone: 816-347-3064 Fax: 816-246-8207 |
Larissa Caron, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 901 Ne Independence Ave, Lees Summit, MO 64086 Phone: 816-347-3007 |
Emma Kirk, Counselor Medicare: Not Enrolled in Medicare Practice Location: 668 Se Bayberry Ln Ste 105, Lees Summit, MO 64063 Phone: 816-287-4040 |
Megan Elizabeth Deaver, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1272 Ne Windsor Dr, Lees Summit, MO 64086 Phone: 816-246-4465 |
Elizabeth Armstrong, Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 Nw Murray Rd Ste 300, Lees Summit, MO 64081 Phone: 816-272-5656 |
Tawny Fortitudo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 508 Ne Spring Creek Pl, Lees Summit, MO 64086 Phone: 816-944-0004 |